Charlene Mary Vitale, PTA
NPI #1336509504 in Manorville, New York
Provider Information
- NPI Number
- 1336509504
- Entity Type
- Individual
- Name
- Charlene Mary Vitale, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Mar 2, 2016
- Last Updated
- Mar 2, 2016
Practice Location
- Address
- 221 N SUNRISE SERVICE RD
- City
- Manorville
- State
- New York
- ZIP Code
- 11949-9604
- Phone
- (631) 878-8900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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